Exam (elaborations)
AHM250 With Complete Solution
- Course
- AHM-250
- Institution
- American Military University
AHM250 With Complete Solution
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Q&AAHM250 With Complete Solution
A health plan can best be described as an organization that...
a. provides coverage for health care expenses and is sponsored by an
employer for its employees
b. maintains a network of affiliated healthcare providers and limits coverage
to services rendered by those providers
c. integrates the delivery and financing of healthcare and seeks to manage
healthcare costs, access and quality. - Answers c. integrates the
delivery and financing of healthcare and seeks to manage healthcare costs,
access and quality.
The earliest versions of health plans appeared in
a. 1973
b. 1910
c. 1954 - Answers b. 1910
Which is NOT an early form of a health plan?
a. Individual practice association
b. prepaid group practice
c. preferred provider organization - Answers c. preferred provider
organization
, Q&A
Which is a provision of the HMO Act of 1973?
a. Federally qualified HMOs were exempted from some state laws
b. all employers had to sponsor an HMO for their employees
c. all HMOs had to meet certain federal standards - Answers a.
Federally qualified HMOs were exempted from some state laws
For an HMO, which was not an advantage of federal qualification?
a. The HMO might be eligible for federal loans and grants to expand its
service area
b. The HMO did not have to meet certain requirements that applied to other
health plans
c. In the marketing of HMO, federal qualification served as a stamp of
approval - Answers b. The HMO did not have to meet certain
requirements that applied to other health plans
The HMO Act of 1973
a. played a major role in the early growth of HMOs
b. played a minor role in the early growth of HMOs
c. was a failure in promoting the growth of HMOs - Answers a.
played a major role in the early growth of HMOs
In the 1990s HMOs
a. were not popular because they were expensive and did not offer a wide
choice of providers
, Q&A
b. were popular because they held down costs, but people objected to their
lack of provider choice
c. were popular because they held down costs and offered a wide choice of
providers - Answers b. were popular because they held down costs,
but people objected to their lack of provider choice
Janine can go to any doctor she chooses, but if she goes to one not on her
plan's network, she has to pay a larger share of the cost. Janine is covered
by
a. a preferred provider organization
b. traditional indemnity insurance
c. a traditional healthcare maintenance organization - Answers a. a
preferred provider organization
Jacob must pay $2,000 in healthcare expenses each year before he
receives benefits from his health plan, but he can use money from a tax-
advantaged savings account. Jacob has
a. a point-of-service plan
b. a specialty carve-out plan
c. a consumer-directed health plan - Answers c. a consumer-
directed health plan
What are the roles of the state and federal governments in regulating
health plans?
a. The states regulate health insurance, and the federal government only
has a minor role
, Q&A
b. The state regulates health insurance but the federal government also
passes laws effecting it
c. The federal government takes the primary role in regulating and
legislating in this area - Answers b. The state regulates health
insurance but the federal government also passes laws effecting it
Have government health coverage programs been a significant factor in the
evolution of health plans?
a. No because health plans are not involved in these programs in any
major way
b. No because these programs do not cover many people
c. Yes because these programs have increasingly relied on health plans to
provide coverage - Answers c. Yes because these programs have
increasingly relied on health plans to provide coverage
Which is not a cause of higher health care spending?
a. A younger population because of immigration
b. Expensive new technology
c. The aging of the baby boomers - Answers a. A younger
population because of immigration
Under the fee-for-service approach, health care providers have a financial
incentive to provide
a. as few services as possible
b. more services
c. only appropriate services - Answers b. more services
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